| None | |
|
3440 W Shaw Ave Ste A Fresno CA 93711-3216 | |
| (559) 277-2273 | |
| (559) 277-2320 |
| Full Name | None |
|---|---|
| Speciality | Clinic/center |
| Location | 3440 W Shaw Ave Ste A, Fresno, California |
| Authorized Official Name and Position | Tuantu Doan Vu (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5592772273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 3440 W Shaw Ave Ste A Fresno CA 93711-3216 Ph: (559) 277-2273 | None 3440 W Shaw Ave Ste A Fresno CA 93711-3216 Ph: (559) 277-2273 |
| NPI Number | 1174554836 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174554836 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (California) | Primary |
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